Stroke (Subacute)
Conditions
Brief summary
The goal of this clinical trial is to learn if deep friction massage works to reduce quadriceps muscle spasticity in adults with sub-acute Stroke. It will also learn about the effectiveness of this technique in improving lower limb motor function and mobility. The main questions it aims to answer are: * Does deep friction massage reduce quadriceps spasticity in stroke patients as measured by the Modified Ashworth Scale? * Does deep friction massage improve lower limb motor recovery as measured by the Fugl-Meyer Assessment? * Does deep friction massage improve functional mobility as measured by the Timed Up and Go Test? Researchers will compare deep friction massage combined with conventional physiotherapy to conventional physiotherapy alone to see if deep friction massage improves spasticity and functional outcomes in patients with stroke.
Interventions
DFM Placed over-the-quadriceps muscle fibers to reduce the spasticity
OTHERPhysical Therapy Exercise only
Formed Physiotherapy Program. The participants will provided with a standardized therapeutic exercise program including: 1. Quadriceps stretch positioning. 2. Active-assisted heel slides 3. Seated knee extensions 4. Bridging exercises 5. Straight leg raises 6. Wall slides (mini-squats) 7. The step-up low platform training. 8. Sit-to-stand training 9. Training on static and dynamic balance. 10. Parallel bar gait training
Sponsors
Majmaah University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
participants will be into 2 equal groups: * Intervention group: Deep friction massage and physiotherapy. * Control group: Structured physiotherapy exclusively.
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 40 years * Ischemic or hemorrhagic stroke diagnosis. * Subacute stage (1-6 months after stroke) * Quadriceps spasticity (Modified Ashworth Scale 1 or above) * Walking with or without assistive aids. * Stable health-wise and can be involved in rehabilitation.
Exclusion criteria
* The participants were not allowed in case they had: * Severe mental failure (MMSE score under 24) * Lower limb musculoskeletal or other neurological disorders. * Contraindications to massage therapy (e.g. thrombosis, skin infection, fracture) * Weakened or no spasticity of the quadriceps. * Extreme medical instability inability to take part.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spasticity of Quadriceps (by the Modified Ashworth Scale (MAS)) | Baseline Assessment 6 weeks | This is a scale used to assess resistance to passive muscle stretch with a scale of 0 to 4 with a 1+ category. Increased scores depict increased spasticity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment | Baseline Assessment 6 weeks | Measured with the motor domain of Fugl-Meyer Assessment. This tests voluntary movement, reflex movement and coordination and the higher the scores of the movements, the better the motor performance. |
| Knee Joint Range of Motion (ROM). | Baseline Assessment 6 weeks | Flexion and extension range measured with a universal goniometer. |
| Timed Up and Go (TUG) test | Baseline Assessment 6 weeks | The Timed Up and Go (TUG) test was used to measure it, as it is a dynamic balance and functional mobility test. |
Contacts
CONTACTDanah M Alyahya, DSc of Physical Therapy
Outcome results
None listed